Progression of foveola-on rhegmatogenous retinal detachment

TY - JOUR

T1 - Progression of foveola-on rhegmatogenous retinal detachment

AU - Hajari, Javad Nouri

AU - Kyhnel, Alexander

AU - Bech-Azeddine, Julia

AU - la Cour, Morten

AU - Kiilgaard, Jens Folke

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

PY - 2014/11/1

Y1 - 2014/11/1

N2 - AIMS: Quantitative assessment of the rate of progression of recent onset posterior rhegmatogenous retinal detachment (RRD).METHODS: A prospective observational study on patients presenting with acute symptomatic primary foveola-on RRD over a 32-month period. Patients were evaluated with optical coherence tomography (OCT) to confirm foveola status. A total of 96 eyes were enrolled and 50 were eligible for quantitative measurement of the movement of the detachment by OCT.RESULTS: Only one eye progressed from foveola-on to foveola-off in the 96 evaluated eyes. In seven of the 50 eyes eligible for quantitative measurement, the detachment was stable during admission. In all others, the movement was very dynamic with episodes of progression and regression. We found that 18% (9/50) of the detachments had a net movement towards foveola during admission. Logistic regression established the amount of time admitted (OR=1.05, p=0.027) as significant risk factor for progression.CONCLUSIONS: The risk of progression of a foveola-on RRD to affect the fovea is small the first night of admission (1%). The amount of time surgery is delayed was found as significant risk factor for progression towards foveola.

AB - AIMS: Quantitative assessment of the rate of progression of recent onset posterior rhegmatogenous retinal detachment (RRD).METHODS: A prospective observational study on patients presenting with acute symptomatic primary foveola-on RRD over a 32-month period. Patients were evaluated with optical coherence tomography (OCT) to confirm foveola status. A total of 96 eyes were enrolled and 50 were eligible for quantitative measurement of the movement of the detachment by OCT.RESULTS: Only one eye progressed from foveola-on to foveola-off in the 96 evaluated eyes. In seven of the 50 eyes eligible for quantitative measurement, the detachment was stable during admission. In all others, the movement was very dynamic with episodes of progression and regression. We found that 18% (9/50) of the detachments had a net movement towards foveola during admission. Logistic regression established the amount of time admitted (OR=1.05, p=0.027) as significant risk factor for progression.CONCLUSIONS: The risk of progression of a foveola-on RRD to affect the fovea is small the first night of admission (1%). The amount of time surgery is delayed was found as significant risk factor for progression towards foveola.

U2 - 10.1136/bjophthalmol-2014-305157

DO - 10.1136/bjophthalmol-2014-305157

M3 - Journal article

C2 - 24963023

SN - 0007-1161

VL - 98

SP - 1534

EP - 1538

JO - British Journal of Ophthalmology

JF - British Journal of Ophthalmology

ER -